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Organization

TIMOTHY NORRIS WEBSTER, PHD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KAMMI LYKINS WYNN (ACCOUNT REPRESENTATIVE)
(336) 768-5348
Entity
Organization

Contact information

Practice address
160 KIMEL FOREST DR, SUITE 100, WINSTON SALEM, NC 27103-6074
(336) 714-6416
(336) 714-6475
Mailing address
160 KIMEL FOREST DR, SUITE 100, WINSTON SALEM, NC 27103-6074
(336) 714-6416
(336) 714-6475

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
635
NC

Other

Enumeration date
06/06/2008
Last updated
06/06/2008
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